Vinblastine +/- Bevacizumab in Children With Unresectable or Progressive Low Grade Glioma (LGG) (NCT02840409)
A Phase II, Open-Labeled, Multi-Center, Randomized Controlled Trial of Vinblastine +/- Bevacizumab for the Treatment of Chemotherapy-Naïve Children With Unresectable or Progressive Low Grade Glioma (LGG)
🩺 Plain-English Summary (8th-Grade Level)
This is an open-label, randomized, multi-center, comparator Phase II trial looking at the addition of Bevacizumab to Vinblastine in chemotherapy naïve pediatric patients with progressive Low Grade Glioma aged 6 months to less than18 years of age at the time of initiation of therapy. Participants will be randomized to Arm A or Arm B. Arm A includes 68 weeks of single agent Vinblastine administered once weekly IV. Arm B includes 68 weeks of Vinblastine administered weekly IV with the addition of 12 doses of Bevacizumab administered every two weeks IV for the initial 24 weeks. Randomization will take place at the time of registration taking into account NF1 and BRAF-KIAA1549-fusion status.
Who can join: To join this study, participants generally need to meet the listed inclusion criteria (29 items) and avoid the listed exclusions (21 items).
Location: Children's Hospital Los Angeles — Los Angeles, California
Age range: 6 Months to 18 Years
🧪 Interventions in This Study
📋 "Do I Qualify?" — 1-Minute Self Screener
Instant ChecklistCheck every box below. If you can check all of them, you may meet the study's basic screening requirements (final eligibility is confirmed by the site team).
Usually NOT eligible if any of the following apply:
- Exclusion Criteria:
- Children under 6 months of age.
- Pregnant or lactating females.
- Use of any investigational agent, systemic, targeted or immunotherapy prior to the first dose of study treatment.
- Any bleeding diathesis or significant coagulopathy at risk of bleeding (i.e. in the absence of therapeutic anticoagulation).
- Patients with evidence of new symptomatic CNS hemorrhage (\> grade I) on baseline MRI.
- Any significant cardiovascular disease, e.g. aortic aneurysm requiring surgical repair or recent arterial thrombosis, CVAs, transient ischemic attacks (TIAs), and systemic hypertension (i.e., a systolic and diastolic BP ≥ 95th percentile for age, sex), prior history of hypertensive crisis or hypertensive encephalopathy or stroke, uncontrolled cardiac arrhythmia within 6 months prior to enrollment .
- Any previous venous thromboembolism Grade 3 or higher (NCI CTCAE v. 4.03).
- History of abdominal fistula, GI perforation, intra-abdominal abscess or active GI bleeding within 6 months prior to the first study treatment.
- Unresolved infection.
- An active peptic or duodenal ulcer.
- Major surgical procedure (see Table 3 section 6.1.7), brain surgery, open biopsy or significant traumatic injury within 28 days prior to enrollment or the anticipation of the need for major (elective) surgery during the course of the study treatment.
🔍 Extracted verbatim from the official NIH eligibility criteria. Always confirm with the study coordinator.
📍 All Participating Trial Locations (21 Sites)
- Children's Hospital Los Angeles — Los Angeles, California
- Children's Hospital Colorado — Aurora, Colorado
- Children's National Medical Center — Washington D.C., District of Columbia
- Children's Healthcare of Atlanta — Atlanta, Georgia
- The Children's Hospital of Philadelphia — Philadelphia, Pennsylvania
- Children's Hospital at Westmead — Westmead, New South Wales
- Queensland Children's Hospital — South Brisbane, Queensland
- Women's and Children's Hospital — North Adelaide, South Australia
- Royal Children's Hospital — Parkville, Victoria
- Perth Children's Hospital — Nedlands, Western Australia
- Alberta Children's Hospital — Calgary, Alberta
- Stollery Children's Hospital — Edmonton, Alberta
- BC Children's Hospital — Vancouver, British Columbia
- Cancer Care Manitoba — Winnipeg, Manitoba
- McMaster Children's Hospital — Hamilton, Ontario
- Children's Hospital - London Health Sciences Centre — London, Ontario
- The Hospital for Sick Children — Toronto, Ontario
- Centre Hospitalier Universitaire Sainte-Justine — Montreal, Quebec
- Montreal Children's Hospital — Montreal, Quebec
- CHU du Quebec-Universite Laval — Québec, Quebec
- Starship Children's Hospital — Grafton, Auckland
💰 Cost, Insurance & Patient Rights
- 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
- Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
- Voluntary Participation: You may withdraw at any time without affecting your standard medical care.
More studies in Low Grade Glioma
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- MAPK Inhibition Combined With Anti-PD1 Therapy for BRAF-altered Pediatric Gliomas — Washington D.C., District of Columbia
- Selumetinib in Treating Young Patients With Recurrent or Refractory Low Grade Glioma — Los Angeles, California
Explore by condition: All Low Grade Glioma clinical trials
💡 How to Participate
- Check the checklist above to see if you may qualify.
- Review the official NIH record below to find the coordinating site.
- Ask about the visit schedule, what is covered at no cost, and any travel support.
- Confirm with your own doctor before making a decision.